| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
777 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
440 |
401 |
$42K |
| 96127 |
|
662 |
619 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
299 |
296 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
503 |
499 |
$5K |
| 99173 |
|
216 |
216 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
248 |
240 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
77 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 92551 |
|
133 |
132 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
63 |
$793.60 |
| 92567 |
|
18 |
18 |
$205.74 |
| 1000F |
|
17 |
17 |
$170.00 |
| 96160 |
|
14 |
14 |
$56.70 |
| H0049 |
Alcohol and/or drug screening |
16 |
16 |
$15.00 |
| 1033F |
|
78 |
72 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
93 |
82 |
$0.00 |
| 1039F |
|
35 |
30 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
95 |
86 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
26 |
23 |
$0.00 |
| 1030F |
|
98 |
98 |
$0.00 |
| 1031F |
|
187 |
168 |
$0.00 |
| 3008F |
|
200 |
192 |
$0.00 |
| 2000F |
|
47 |
47 |
$0.00 |
| 1220F |
|
27 |
25 |
$0.00 |